Individual provider Active NPI

Charles Zonfa, M.D.

  • Obstetrics & Gynecology Physician
  • Parma, OH
National Provider Identifier
1417052929
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35-070386 Issued in OH
Practice address
12301 Snow Rd
Parma, OH 44130-1002
Phone
(216) 524-7377
Fax
(216) 362-2779
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35-070386 OH Primary

Addresses

Primary practice location

12301 Snow Rd
Parma, OH 44130-1002

Mailing address

1001 Lakeside Ave E
#1200
Cleveland, OH 44114-1158

Other identifiers 1

IdentifierTypeStateIssuer
2059570MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524001075 OH Practitioner - Obstetrics/Gynecology 7517958853 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northeastern Ohio University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

161 N Forge St
Akron, OH 44304-1483

525 E Market St
Akron, OH 44304-1619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-070386OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parma Community General Hospital Association CurrentSince Apr 15, 2016 Accepting new patients
North East Ohio Group Practice LLC CurrentSince May 12, 2019 Accepting new patients
Cottle Pathology Services, Inc Current Accepting new patients
Summa Physicians LLC CurrentSince Feb 14, 2018 Accepting new patients
Parma Community General Hospital Association CurrentSince Apr 15, 2016 Accepting new patients
Summa Physicians LLC Obstetrics & Gynecology Current Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

75 Arch St
Ste 501
Akron, OH 44304
Phone (330) 319-9700

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1417052929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LAKESIDE AVE E",
            "address_2": "#1200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 SNOW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301002",
            "telephone_number": "216-524-7377",
            "fax_number": "216-362-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZONFA",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-070386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2059570",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.